ENT SIGNS DR Kamlesh Dubey AQUINOS SIGN Glomus

ENT SIGNS DR. Kamlesh Dubey

AQUINO'S SIGN: Glomus tumors Ø blanching of the tympanic mass with gentle pressure on the carotid artery BATTLE SIGN: petrous temporal bone fracture (middle fossa #) Ø Bruising behind ear at mastoid region BEZOLD'S SIGN: mastoiditis Ø Inflammatory edema at the tip of the mastoid process BOCCA’S SIGN : Ca Larynx Ø Absence of post cricoid crackle(Muir’s crackle) BROWNE'S SIGN : Glomus tumor Ø blanching noted when applying positive pressure{with Siegel's speculum} to the tympanic membrane

BRYCE SIGN: combined laryngocele & external laryngocele Ø compression will cause a hissing sound as the air escapes from it into the larynx (but don’t try!) DELTA SIGN: Lateral sinus thrombosis Ø CT or MRI with contrast shows an empty triangle appearance of the thrombosed sinus surrounded by contrast enhanced dura (empty triangle sign) DODD’S SIGN: positive in AC ployp Negative in Angiofibroma Ø X-ray finding-Crescent of air between the mass and posterior pharyngeal wall (CRESCENT SIGN) FURSTENBERG'S SIGN: Encephaloceles Ø pulsation and expansion of the mass with crying, straining, or compression of the jugular vein (Furstenberg test) GRIESINGER'S SIGN: lateral sinus thrombosis Ø -Erythema and oedema posterior to the mastoid process resulting from septic thrombosis of the mastoid emissary vein

HALO SIGN/ HANDKERCHIEF SIGN: CSF rhinorrhea Ø CSF will separate from blood when the mixture is placed on filter paper resulting in a central area of blood with an outer ring or halo Ø HOLMAN MILLER SIGN: JNA Ø anterior bowing of the posterior wall of the antrum seen on lateral skull film

HONDOUSA SIGN (X-ray): JNA Ø Infratemporal fossa involvement Ø widening of gap between ramus of mandible and maxillary body HENNEBERT'S SIGN : false positive fistula test Ø fistula of horizontal semicircular canal Ø meniere's disease or congenital syphilis IRWIN MOORE’S SIGN: chronic tonsillitis Ø Positive squeeze test LAUGIER'S SIGN: basilar skull fracture Ø Blood behind the eardrum LEUDET'S SIGN: -Inflammation of the eustachian tube Ø Caused by reflex spasm of the tensor palati muscle Ø Clicking sound, tinnitus

LIGHT HOUSE SIGN: Acute suppurative otitis media Ø small pin hole perforation with a pulsatile ear discharge LYRE’S SIGN : carotid body tumor Ø splaying of carotid vessels( at junction of External & internal carotid artery)

MILIAN’S EAR SIGN: Erysipelas Ø can spread to pinna(cuticular affection), where as cellulitis cannot Ø erysipelas involves the upper dermis and superficial lymphatics, whereas cellulitis involves the deeper dermis and subcutaneous fat OMEGA SIGN: LARINGOMALACIA (epiglottis) PHELP’S SIGN : glomus jugulare Ø loss of crest of bone (HRCT)) between carotid canal and jugular canal RISING SUN SIGN : red vascular hue seen behind the intact tympanic membrane Ø glomus tumour Ø high jugular bulb Ø aberant carotid artery in the floor of middle ear

SCHWARTZ SIGN : active phase of otosclerosis(otospongiosis) Ø increased vascularity in submucous layer of promontory Ø flamingo flush sign STEEPLE SIGN: Acute laryngotracheobronchitis Ø presence of edema in the trachea, which results in elevation of the tracheal mucosa Ø loss of the normal shouldering (lateral convexities) of the air column

STANKIEWICK’S SIGN: orbital injury during FESS Ø fat protrude in to nasal cavity on compression of eye ball from outside TEAR DROP SIGN : Orbital floor fracture Ø tear drop shaped opacification seen hanging from the roof of the maxillary sinus on water's view Ø tear-drop represents the herniated orbital contents, periorbital fat and inferior rectus muscle THUMB SIGN : Epiglottitis Ø thumb like impression (due to enlarged epiglottis) on X-STN lateral

TEA POT SIGN: CSF rhinorrhoea Ø Related to the relationship of the sphenoid ostium to the sinus floor Ø Sphenoid ostium lies at an appreciable distance anterosuperior from the sinus floor Ø Patient bends forward as an increasing amount of CSF gains access to the ostium "teapot" sign Uvula pointing sign: Rhinoscleroma Ø Rhinoscleroma involve nasopharynx , uvula point towards roof of nasopharynx